Imagery Rescripting and Imaginal Exposure for Social Anxiety: Mechanisms and Outcomes in an Analog Sample

NCT04635904 | Unknown

• 1 other identifier: isf2157/2020
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This study will recruit 100 participants who self-report high symptoms of social anxiety (Social phobia inventory \>30). Participants will be randomly assigned to receive either one analog intervention of Imagery Rescripting (IR) or Imaginal Exposure. We will test the efficacy and mechanisms behind each interventions.

Conditions

Social Anxiety

Keywords

Social anxiety symptoms

Outcome Measures

Primary Outcomes (1)

• Change from baseline in the Social phobia inventory (SPIN) at the follow-up session

  The SPIN is a validated self-report instrument assessing average social phobia symptom intensity over the past week. possible scores range from 0 (not at all) to 4 (Extremly). change = (follow-up score - Baseline Score)

  Will be measured at Baseline (6,9, or 12 days before intervention), Post-intervention (immediately after the intervention) and Follow-up ( 7 days after the intervention)

Secondary Outcomes (11)

• Change from Baseline in the Thought fusion inventory (TFI) at the follow-up session

  Will be measured at Baseline (6,9, or 12 days before intervention), Post-intervention (immediately after the intervention) and Follow-up ( 7 days after the intervention)

• Change from Baseline in the White Bear Suppresion inventory (WBSI) at the follow-up session

  Will be measured at Baseline (6,9, or 12 days before intervention), Post-intervention (immediately after the intervention) and Follow-up ( 7 days after the intervention)

• Change from Baseline in the Positive and Negative Affect Scale (PANAS) international version short form (10 items from the negative subscale only) at the follow-up session

  Will be measured at Baseline (6,9, or 12 days before intervention) and Follow-up ( 7 days after the intervention)

• Change from Baseline to follow-up in the amount of negative and positive/neutral content details the participant provides while describing the negative imagery. The imagery will be probed using the Waterloo Image and Memories Interview (WIMI).

  Will be measured at Baseline (6,9, or 12 days before intervention) and Follow-up ( 7 days after the intervention)

• Change from Baseline to follow-up in negativity of the core-beliefs that the participant link to the negative imagery provided in the WIMI.

  Will be measured at Baseline (6,9, or 12 days before intervention) and Follow-up ( 7 days after the intervention)

Other Outcomes (1)

• Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders (DIAMOND)

  Baseline only

Study Arms (2)

Imaginal exposure

EXPERIMENTAL

A behavioral intervention in imagery

Behavioral: Imaginal exposure one-session

Imagery rescripting

EXPERIMENTAL

A different behavioral intervention in imagery

Behavioral: Imagery rescriptinf one-session

Interventions

Imaginal exposure one-session BEHAVIORAL

Participants in this arm will be asked to decide alongside with the intervention provider (a clinical PhD student or M.A student under the supervision of the principal investigator) to imagine a script based on a future distressing anxiety provoking scenarios multiple times while honing in on the most negative aspects.

Imaginal exposure

Imagery rescriptinf one-session BEHAVIORAL

Participants in this arm will be asked to decide alongside with the intervention provider (a clinical PhD student or M.A student under the supervision of the principal investigator) o imagine a script based on a future distressing anxiety provoking scenarios one time while honing in on the most negative aspects. Afterwards they will insert changes into the script that try to help them cope in the imagery.

Imagery rescripting

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• can't report a negative imagery related to a future social scenario. Attending active psychotherapy sessions.

Sponsors & Collaborators

• Hebrew University of Jerusalem: lead

Study Sites (1)

Hebrew University of Jerusalem

Jerusalem, 9190501, Israel

RECRUITING

Related Publications (6)

• Aderka IM, Pollack MH, Simon NM, Smits JA, Van Ameringen M, Stein MB, Hofmann SG. Development of a brief version of the Social Phobia Inventory using item response theory: the Mini-SPIN-R. Behav Ther. 2013 Dec;44(4):651-61. doi: 10.1016/j.beth.2013.04.011. Epub 2013 May 3.

  PMID: 24094790 BACKGROUND

• Connor KM, Davidson JR, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the Social Phobia Inventory (SPIN). New self-rating scale. Br J Psychiatry. 2000 Apr;176:379-86. doi: 10.1192/bjp.176.4.379.

  PMID: 10827888 BACKGROUND

• Muris P, Merckelbach H, Horselenberg R. Individual differences in thought suppression. The White Bear Suppression Inventory: factor structure, reliability, validity and correlates. Behav Res Ther. 1996 May-Jun;34(5-6):501-13. doi: 10.1016/0005-7967(96)00005-8.

  PMID: 8687372 BACKGROUND

• Romano M, Moscovitch DA, Saini P, Huppert JD. The effects of positive interpretation bias on cognitive reappraisal and social performance: Implications for social anxiety disorder. Behav Res Ther. 2020 Aug;131:103651. doi: 10.1016/j.brat.2020.103651. Epub 2020 May 22.

  PMID: 32504886 BACKGROUND

• Moscovitch DA, Vidovic V, Lenton-Brym AP, Dupasquier JR, Barber KC, Hudd T, Zabara N, Romano M. Autobiographical memory retrieval and appraisal in social anxiety disorder. Behav Res Ther. 2018 Aug;107:106-116. doi: 10.1016/j.brat.2018.06.008. Epub 2018 Jun 22.

  PMID: 29960125 BACKGROUND

• Tolin DF, Gilliam C, Wootton BM, Bowe W, Bragdon LB, Davis E, Hannan SE, Steinman SA, Worden B, Hallion LS. Psychometric Properties of a Structured Diagnostic Interview for DSM-5 Anxiety, Mood, and Obsessive-Compulsive and Related Disorders. Assessment. 2018 Jan;25(1):3-13. doi: 10.1177/1073191116638410. Epub 2016 Mar 17.

  PMID: 26988404 BACKGROUND

Study Officials

• Jonathan D Huppert, PhD

  Professor

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Snir Barzilay, Grad student

CONTACT

+972 50 4499 435; snir.barzilay@mail.huji.ac.il

Jonathan D Huppert, PhD

CONTACT

jonathan.huppert@mail.huji.ac.il

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcomes assessor that assess mental imagery content (see secondary outcomes) are blind to the condition.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, PhD, Certified Clinical Psychologist

Study Record Dates

• First Submitted: November 8, 2020
• First Posted: November 19, 2020
• Study Start: April 19, 2021
• Primary Completion: August 1, 2023
• Study Completion: August 1, 2023
• Last Updated: October 26, 2022

Record last verified: 2022-10

Data Sharing

• IPD Sharing: Will not share

Locations

IL (1)